• 제목/요약/키워드: Hand-operated

검색결과 334건 처리시간 0.021초

수지 첨부 절단 후 성공적 재접합술대 무지구 피판술의 기능적 결과 비교 (A Comparision of Functional Outcomes after Successful Replantation versus Thenar Flap for Single Fingertip Amputations)

  • 권기두;안병문
    • Archives of Reconstructive Microsurgery
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    • 제21권1호
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    • pp.1-7
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    • 2012
  • Purpose: This retrospective study was to determine the functional results of patients who were amputated of their fingertip between patients who were treated with replantation and patients who were treated with thenar flap. Materials and Methods: From 2004 to 2007, we identified and operated 159 patients who were diagnosed with fingertip amputations. Of 159 patients, Eighty-two patients were treated by replantation (67 in men and 14 in women) and the mean age at the operation was 41 years (range, 15-68 years). Seventy-nine patients was treated with thenar flap(54 in men and 25 in women) and the mean age at the operation was 43 years(range, 21-70 years). We compared variables between two groups including, age, gender, diagnosis, duration of hospital admission, grip strength, two-point discrimination, Semmes Weinstein monofilament test, active range of motion (ROM) of the proximal and distal interphalangeal (PIP and DIP) joint, pain (or tenderness), paresthesia, cold intolerance, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and finger for activities of daily living (ADLs). Results: The duration of admission was longer in Replantation group than in Thenar flap group(p=0.001). However, the grip strength (p=0.003) and Semmes Weinstein monofilament test (p=0.029) in the Replanation group were statistically superior to the Thenar flap group. The average DASH disability (p=0.003)/symptom score (p=0.007) and ADLs (p<0.001) in the Replantation group was statistically better. In addition, cold intoleranace test of Thenar flap group is worse than the Replantation group. Conclusion: This study demonstrate that fingertip replantation have demonstrated not only to obtain the best appearance but also to gain better functional outcome. However, it is impossible to perform replatation, the thenar flap can be limited alternative method for fingertip amputation in aspect of preservation of range of motion and hospitalization time.

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공단지역의 대기배출시설을 대상으로 한 악취성분의 처리효율에 관한 연구 - 반월공단 지역을 중심으로 (A Study of Control Efficiency for Odorous Pollutants in Various Emission Control Units in the Ban-Wall Industrial Complex)

  • 최여진;전의찬;김기현
    • 한국대기환경학회지
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    • 제23권1호
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    • pp.110-124
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    • 2007
  • In this study, the control efficiency of odorous compounds was measured from diverse control process units of 14 individual companies located within the Ban-Wall industrial complex of Ansan city, Korea (January to July 2005), To quantify the control efficiency levels of major odorous compounds, we collected odor samples from both the front and rear side of 17 control process units ($N=17{\times}2=34$). If the control efficiency is compared for each of 32 compounds between different process units, wet scrubber (WS) was found to be the most effective unit in terms of the sum of pollutants showing the positive control signals. Although the WS system shows generally a good control pattern for VOC, it is not the case for most index odorous pollutants; only 3 out of 12 index compounds were found to show positive control efficiencies. The results of the study also indicated that the control efficiency differ greatly between different industrial sectors and/or control process types. In the case of leather industry, carbonyl compounds were found to exhibit the highest control efficiency with its values varying from 19 to 90%. On the other hand, in the case of metal production sector, VOC recorded the maximum control efficiency with values varying from 18 to 79%. According to this study, most air pollution control facilities operated in most companies show fairly poor control efficiencies for most malodor compounds. Hence, to obtain best control efficiency of odorous pollutant emission, acquisition of better information on source characteristics and establishment of effective control technologies are highly demanding.

디젤오염토양에 대한 지중 오존산화처리 적용 가능성 (The In-Situ Ozone Oxidative Remediation Potential of Diesel Fuel-contaminated Soil)

  • 유도윤;신응배;배우근
    • 한국토양환경학회지
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    • 제4권3호
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    • pp.3-15
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    • 1999
  • 기존의 SVE 공정에 공기 대신 오존을 주입하여 유류물질의 지중분해를 유도하고 추출가스의 처리부담을 최소화할 수 있는 복원 신공정 개발을 위한 기초연구를 수행하였다. 이를 위하여 비휘발성 유류물질인 디젤유를 처리대상물질로 하여 토양칼럼실험을 통해 오존주입에 의한 지중분해 가능성을 검토하였다. 수분함량 8.39%의 실토양에 디젤유를 혼합하여(초기농도 1,485mg-DRO/kg-soil)칼럼에 충진시킨 후 119.0$\pm$6.1mg/L의 농도를 가지는 오존가스를 50mL/min의 유량으로 연속 주입하였을 때 14시간 반응후 칼럼 상 하부의 디젤유 제거율은 각각 87.9%, 100.0%를 나타내어 비교적 빠른 시간내에 효과적으로 처리되는 것으로 나타났다. 한편 동일한 조건에서 오존가스 대신 공기를 주입하였을 때 공기 유입 및 유출부 모두 총 14시간 동안의 접촉시간 동안 30%이내의 제거율을 나타냄에 따라 디젤오염토양에 대한 기존 SVE공정의 적용한계를 확인하였다.

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저장탄약신뢰성평가 데이터를 활용한 포병탄약의 효과적 관리방안 연구 -시험주기 설정, 저장수명 예측, 전력효과 분석을 중심으로- (A study on the effective management of artillery ammunition using ASRP data -The case of test interval determination, shelf-life prediction, force effectiveness analysis-)

  • 이정우;홍윤기
    • 한국산학기술학회논문지
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    • 제13권9호
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    • pp.4349-4358
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    • 2012
  • ASRP 데이터는 야전에 저장 운용되고 있는 탄약을 평가한 유일한 필드 데이터이자 탄약성능 중심의 포병전력을 객관적으로 판단할 수 있는 자료이다. 하지만 ASRP 데이터는 야전에 저장된 탄약에 대한 저장상태를 판단하는 잣대로 활용될 뿐, 축적된 데이터에 대한 재평가와 깊이 있는 연구가 진행되지 못하고 있다. 본 연구는 포병탄약 성능 중심의 현존 포병전력을 분석하고 관리하기 위한 ASRP 데이터의 활용 방법 연구로 야전에 저장되고 있는 탄약의 시험주기 설정, 탄약수명 예측 및 M&S(Modeling & Simulation) 기법의 전투모의를 통한 전력효과 분석 등 3가지 방안을 제시하였다.

철도차량의 저상 및 고상 승강장 겸용 승강문 스텝에 대한 내구성 평가 (Durability Evaluation on Doorstep Equipments Used for Low and High Level Platforms at Railway Vehicle)

  • 김철수;박민흥
    • 한국산학기술학회논문지
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    • 제13권9호
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    • pp.3889-3894
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    • 2012
  • 국내 여객을 취급하는 철도역사의 승강장은 간선철도노선의 저상승강장(500mm)과 광역전철구간의 고상승강장(1135mm)으로 구분 운용되고 있다. 저상승강장 전용 중 고속 열차가 수도권 전철구간(고상승강장)과 본선구간(저상승강장)에서 혼용 운영될 경우를 대비하고 안전운전 및 승객편의를 함께 고려하기 위해 저상 고상 승강장 겸용 승강시스템의 개발은 필수적이다. 한편 현재 개발 중인 시스템(스텝)에 대한 국내의 내구성 및 신뢰성 시험 기준은 존재하지 않는다. 따라서 본 연구에서는 저상/고상 승강장 겸용 텔레스코픽 슬라이드방식 승강문 스텝의 개발을 위한 연구 일환으로서, VPD관점에서 내구성 해석을 수행하고 신뢰성 보증시험에 준한 무고장 시험시간동안 실물 리그시험을 통하여 이의 내구성 기준 및 보증수명을 검토하였다.

상하개폐형 RPSD의 수동개폐 알고리즘 개발 및 평가 (Development of the Manual Opening and Closing Algorithm for Vertical Rope Type Platform Safe Door and Its Evaluation)

  • 최갑열;김현
    • 대한교통학회지
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    • 제32권3호
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    • pp.248-255
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    • 2014
  • 승강장 안전문은 긍정적 평가에도 불구하고 수도권 도시철도에만 100% 설치되어 있으며, 일반철도(Intercity Railroad) 승강장의 경우 승강장 안전문 설치가 전무한 상황이다. 이는 대부분의 도시철도에는 동일 형태의 열차(차량)가 정차하는 것과는 다르게 일반철도에는 KTX, 새마을, 무궁화, 누리로 등 다양한 형태의 열차가 정차하고, 자동운전시스템(ATO)이 없이 운영되기 때문에 기존 승강장 안전문 설치에 한계가 있기 때문이다. 현재 연구개발 중인 상하개폐식 승강장 안전문(RPSD)는 열차의 길이 및 출입문 위치, 출입문 개수와 상관없이 모든 열차가 혼용하여 사용할 수 있는 안전시스템으로 일반철도 승강장에 매우 유용하다. 본 논문에서는 잠금장치가 없는 RPSD의 기계적 메커니즘을 고려하여 수동개폐 알고리즘을 개발하고 그 기능 구현에 대해 실험적 방법으로 평가하였다. 그 결과 RPSD의 수동개폐 알고리즘은 전원이 공급되고 있는 조건에서는 매우 효율적인 방법이라는 점을 확인할 수 있었다.

수부 및 상지의 피부에 발생한 원발성 피부 무형성 대세포 림프종 증례보고 1례 (Primary Cutaneous Anaplastic Large Cell Lymphoma: A Case Report)

  • 유중석;이동락;임준규;윤인모;이병두;이동은
    • Archives of Plastic Surgery
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    • 제33권6호
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    • pp.757-760
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    • 2006
  • Purpose: Anaplastic large cell lymphoma, has the following three characteristics of a malignant lymphoma; 1) An irregular large nucleus, called pathologic atypical cells, 2) Eosinophilic cytoplasm, 3) Immunologically positive for Ki-1. Anaplastic large cell lymphoma occurs mostly in the lymph nodes, but about 40% has been observed to occur in other tissues. Skin is the one of the main sources of origin and it is called 'primary cutaneous anaplastic large cell lymphoma'. Methods: A 69-year-old male patient with an erythematous nodule, sized $1.5{\times}1.7cm$ on his right hand dorsum was excised under local anesthesia and on biopsy was diagnosed as 'Dermatofibrosarcoma Protuberans'. Three months after the local excision and biopsy, same natured mass reoccurred in the same region, and then spontaneous regressed after three weeks. However, metastatic large mass of $4.0{\times}5.0cm$, of same nature was observed on the elbow. The large mass was operated with wide excision and biopsy. Results: On final diagnosis, with an immunofluorescent stain with CD30(Ki-1), 'Primary cutaneous large cell lymphoma' was made. After follow up for three years, we did not observed recurrence and metastasis. Conclusion: We have reported that we have diagnosed primary cutaneous large cell lymphoma and treated without recurrence and metastasis.

급식소 위생관리 개선방안에 대한 급식소 관리자의 중요도 평가 (Importance Evaluation about the Remedies for Improvement of Sanitation Management by Foodservice Managers)

  • 배현주;이혜연
    • 대한지역사회영양학회지
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    • 제15권2호
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    • pp.266-274
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    • 2010
  • The purposes of this study were to evaluate on the importance about the possible remedies for improvement of sanitation management by foodservice manager and to compare dietitians' opinion and that of administrators about theirs. A questionnaire survey was performed by 282 dietitians and 56 administrators, who were involved at foodservice facilities in Daegu and Gyeongbuk from March 7 to March 9 in 2007. According to the results of the importance evaluation analysis about the remedies for improvement of sanitation management, there were significant differences between dietitians and administrators in the means of 6 items such as "remodeling of hygiene equipment and facilities", "improvement of dietitians' food safety knowledge", "self-operated management of foodservice operation", "enforcement of cooperation between the CEO or administrators and dietitians", "development of food safety education program for foodservice workers", "increasing of foodservice operating budget". In all of them, the dietitians' evaluation scores were significantly higher than that of administrators. In addition, four factors were extracted by exploratory factor analysis. According to the results of one-way ANOVA, operating, education, and policy support sector showed that significant differences across type of foodservice, frequency of meals served, number of meals served per day, dietitians' education level and career. On the other hand, supervision sector showed that significant differences across number of meals served per day and dietitians' employment type. In conclusion, in order to increase the quality of sanitation in the foodservice operation, we should increase sanitation performance and enforce the food-safety education for foodservice workers. In addition, government should increase the policy support.

Microbial Community Dynamics in Batch High-Solid Anaerobic Digestion of Food Waste Under Mesophilic Conditions

  • Yi, Jing;Dong, Bin;Xue, Yonggang;Li, Ning;Gao, Peng;Zhao, Yuxin;Dai, Lingling;Dai, Xiaohu
    • Journal of Microbiology and Biotechnology
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    • 제24권2호
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    • pp.270-279
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    • 2014
  • Microbial community shifts, associated with performance data, were investigated in an anaerobic batch digester treating high-solid food waste under mesophilic conditions using, a combination of molecular techniques and chemical analysis methods. The batch process was successfully operated with an organic removal efficiency of 44.5% associated with a biogas yield of 0.82 L/g $VS_{removal}$. Microbial community structures were examined by denaturing gel gradient electrophoresis. Clostridium and Symbiobacterium organisms were suggested to be mainly responsible for the organic matter catabolism in hydrolysis and acidogenesis reactions. The dynamics of archaeal and methanogenic populations were monitored using real-time PCR targeting 16S rRNA genes. Methanosarcina was the predominant methanogen, suggesting that the methanogenesis took place mainly via an aceticlastic pathway. Hydrogenotrophic methanogens were also supported in high-solid anaerobic digestion of food waste through syntrophism with syntrophic bacterium. Microbial community shifts showed good agreement with the performance parameters in anaerobic digestion, implying the possibility of diagnosing a high-solid anaerobic digestion process by monitoring microbial community shifts. On the other hand, the batch results could be relevant to the start-up period of a continuous system and could also provide useful information to set up a continuous operation.

Tractor 동력취출장치(P.T.O.)의 동력전달구조에 관한 연구 (A Study on the Characteristic of Power Transmission by the Power-take-off(P.T.O.) of farm Tractor)

  • 송현갑
    • 한국농공학회지
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    • 제15권3호
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    • pp.3089-3095
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    • 1973
  • The power transmission to the traction devices may be very important for the tractor performance and therefore this system has been studied very much in the past. On the other hand, the PTO(Power-take-off) has been considered as an accessary on the tractor with a few work for its power transmission. Because of increased use of PTO operation in various kind of farming operations in recent years, the function of PTO may become such important as the traction facilities. In this study, the power transmission characteristics of PTO drive was analyzed theoretically and some experimental work was done to study on it. The results of the study are as follows: 1) The most stable condition of PTO work was obtained when the intersection angle of the two curves for driving and driven torques was about ${\pi}/2$. 2) To obtain the most stable operation it is better to use both the speed control and the full control together. 3) Six steps differential gear may not be enough to use the PTO power smoothly. It is thought that the three steps differential gear on the shaft of PTO may be necessary additionally for a smooth operation. 4) When the traction facilities and the PTO are used at the same time, the torque of crank shaft becomes Tt + Tp, and the high efficiency and good stability of word will be obtained with the small variation of driving speed. 5) When the tractor was operated with 75% of the rated horse power and 70% of maximum speed, the best thermal efficiency could be obtained. 6) The most dangerous sound for human occured at the rated speed of PTO and tus it may be necessary to control the dangerous noise.

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